SURGICAL INSTRUMENTS WITH ARTICULATABLE SHAFT ARRANGEMENTS

• US 20150173789A1
• Filed: 12/23/2013
• Published: 06/25/2015
• Est. Priority Date: 12/23/2013
• Status: Abandoned Application

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Baxter, Chester O. III, Shelton, Frederick E. IV
• Application Number:
  US14/138,554
• Publication Number:
  US 20150173789A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0684 having a forming anvil staying above the tissue during stapling
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/0645 being elastically deformed for insertion
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

A surgical instrument that can comprise a surgical end effector that is configured to perform at least one surgical procedure upon application of at least one control motion thereto. The surgical instrument may further include an elongated shaft assembly that defines a longitudinal tool axis and is operably coupled to the surgical end effector. The elongated shaft assembly may operably support at least one control component and include a flexible articulation portion for facilitating articulation of the surgical end effector relative to the longitudinal tool axis. The flexible articulation portion may comprise a longitudinally-extending, elongated articulation spine that includes a plurality of ribs that extend from each lateral side of the articulation spine. Each rib may include at least one anti-twist feature for preventing the flexible articulation portion from twisting about the longitudinal tool axis during articulation of the surgical end effector.

Claims

1. A surgical instrument, comprising:

a surgical end effector; and

an elongated shaft assembly defining a longitudinal tool axis and being operably coupled to the surgical end effector, the elongated shaft assembly including a flexible segment comprising;

a longitudinally extending, elongated articulation spine including two lateral sides, the spine including a length and a width that tapers along said length; and

a plurality of ribs extending laterally from each lateral side of said articulation spine along a length thereof such that a distal portion of the flexible segment articulates at an articulation rate that is fastener than another articulation rate of another portion of the flexible segment that is proximal to the distal portion upon application of articulation motions to the surgical end effector.

2. The surgical instrument of claim 1 wherein said articulation spine includes a proximal end, a distal end and a height and wherein said proximal end includes a proximal width and wherein said distal end includes a distal width that differs from said proximal width.

3. The surgical instrument of claim 2 wherein said proximal width is greater than said distal width.

4. The surgical instrument of claim 1 wherein the two lateral sides of the articulation spine comprise:

a right lateral side; and

a left lateral side and wherein the plurality of ribs comprises;

at least three right ribs protruding from the right lateral side of the articulation spine such that first spaces are provided between the right ribs, each of the first spaces having a first space width; and

at least three left ribs protruding from the left lateral side of the articulation spine such that second spaces are provided between the left ribs, each of the second spaces having a second space width.

5. The surgical instrument of claim 4 wherein at least one of the first space widths differs from at least one other of the first space widths and wherein at least one of the second space widths differs from at least one other of the second space widths.

6. The surgical instrument of claim 4 wherein at least one of the first space widths is equal to at least one of the second space widths.

7. The surgical instrument of claim 4 wherein the first space widths sequentially decline in magnitude proceeding from a proximal end of the flexible segment to a distal end of the flexible segment and wherein the second space widths sequentially decline in magnitude proceeding form the proximal end of the flexible segment to the distal end of the flexible segment.

8. The surgical instrument of claim 4 wherein at least two of the first ribs have a first anti-twist feature formed therein and wherein at least two of the second ribs have a second anti-twist feature therein.

9. The surgical instrument of claim 4 wherein at least two of said plurality of ribs extending laterally on a right lateral side of said articulation spine each include a right anti-twist protrusion configured to engage a right anti-twist detent in corresponding other said ribs on said right lateral side and wherein at least two of said plurality of ribs on a left lateral side of said articulation spine each include a left anti-twist protrusion configured to engage a left anti-twist detent in corresponding other said ribs on said left lateral side.

10. The surgical instrument of claim 9 wherein each said right anti-twist protrusion and each said right anti-twist detent are aligned along a right lateral axis when said flexible portion is unarticulated and wherein each said left anti-twist protrusion and each said left anti-twist detent are substantially aligned along a left lateral axis when said flexible articulation portion is unarticulated.

11. A surgical instrument, comprising:

a surgical end effector; and

an elongated shaft assembly defining a longitudinal tool axis and being operably coupled to said surgical end effector, said elongated shaft assembly including a flexible articulation portion for facilitating articulation of said surgical end effector relative to said longitudinal tool axis upon application of articulation motions to said surgical end effector, said flexible articulation portion comprising;

a longitudinally-extending, elongated articulation spine including two lateral sides; and

a plurality of ribs extending laterally from each lateral side of said articulation spine along a length thereof and wherein at least one said rib on each lateral side of said articulation spine includes an anti-twist protrusion that protrudes outward from the rib towards an adjacent said rib and wherein said adjacent said rib includes an anti-twist detent that corresponds to said anti-twist protrusion such that upon application of a twisting motion to said flexible articulation portion, said anti-twist protrusion engages said corresponding anti-twist detent.

12. The surgical instrument of claim 11 wherein said articulation spine has a length and a width that tapers along said length.

13. The surgical instrument of claim 11 wherein said articulation spine includes a proximal end, a distal end and a height and wherein said proximal end includes a proximal width and wherein said distal end includes a distal width that differs from said proximal width.

14. The surgical instrument of claim 12 wherein said proximal width is greater than said distal width.

15. The surgical instrument of claim 11 wherein at least two of said plurality of ribs extending laterally on a right lateral side of said articulation spine each include a right anti-twist protrusion configured to engage a right anti-twist detent in corresponding other said ribs on said right lateral side and wherein at least two of said plurality of ribs on a left lateral side of said articulation spine each include a left anti-twist protrusion configured to engage a left anti-twist detent in corresponding other said ribs on said left lateral side.

16. The surgical instrument of claim 15 wherein each said right anti-twist protrusion and each said right anti-twist detent are aligned along a right lateral axis when said flexible portion is unarticulated and wherein each said left anti-twist protrusion and each said left anti-twist detent are substantially aligned along a left lateral axis when said flexible articulation portion is unarticulated.

17. The surgical instrument of claim 16 wherein said right lateral axis, said left lateral axis and said longitudinal tool axis are substantially parallel to each other.

18. The surgical instrument of claim 11 further comprising a component passage extending longitudinally through said articulation spine.

19. A surgical instrument, comprising:

an end effector comprising;

an elongated channel configured to support a surgical fastener cartridge therein that includes a plurality of surgical fasteners and a tissue cutting member; and

an anvil supported relative to said elongated channel and wherein said surgical instrument further comprises;

a housing;

a firing drive system configured to selectively generate firing motions wherein at least a portion of said firing drive system is operably supported by said housing;

a closure system for generating closing and opening motions and wherein at least a portion said closure system is operably supported by said housing;

an articulation system configured to generate articulation motions wherein at least a portion of said articulation system is operably supported by said housing;

an elongated shaft assembly operably coupled to said housing and said surgical end effector and defining a longitudinal tool axis, said elongated shaft assembly operably interfacing with said closure system to selectively apply said opening and closing motions to said end effector, said elongated shaft assembly further comprising;

a flexible articulation portion including a longitudinally-extending, elongated articulation spine including a length and a width that that tapers along said length, said elongated articulation spine include a component passage therethrough;

a plurality of ribs extending laterally from each lateral side of said articulation spine along a length thereof and wherein at least one said rib on each lateral side of said articulation spine includes an anti-twist protrusion that protrudes outward from the rib towards an adjacent said rib and wherein said adjacent said rib includes an anti-twist detent that corresponds to said anti-twist protrusion such that upon application of a twisting motion to said flexible articulation portion, said anti-twist protrusion engages said corresponding anti-twist detent;

a flexible firing beam movably supported within said component passage and operably interfacing with said firing control system and said tissue cutting member;

a right articulation beam operably supported by said right ribs and operably interfacing with said articulation system and said elongated channel; and

a left articulation beam operably supported by said left rib and interfacing with said articulation system and said elongated channel.

20. The surgical instrument of claim 19 further comprising:

a right sled pusher beam movably supported in said component passage and interfacing with said firing control system and said surgical end effector; and

a left sled pusher beam movably supported in said component passage and interfacing with said firing control system and said surgical end effector.